Individual provider Active NPI

Richard Alan Goldberg, D.O.

  • Adult Medicine Physician
  • Jupiter, FL
National Provider Identifier
1982635595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS 6807 Issued in FL
Practice address
2163 South U.S. Hwy 1
Jupiter, FL 33477-7338
Phone
(561) 746-0208
Fax
(561) 575-1267
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS 6807 FL Primary

Addresses

Primary practice location

2163 South U.S. Hwy 1
Jupiter, FL 33477-7338

Mailing address

2163 South U.S. Highway 1
Driftwood Family Practice , P.a.
Jupiter, FL 33477-7338
Phone (561) 746-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120001095 FL Practitioner - Family Practice 4587843750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Driftwood Family Practice PAGroup PAC ID 0143409318, 2 clinicians

Practice addresses (Care Compare)

210 Jupiter Lakes Blvd
Suite 5206
Jupiter, FL 33458-7192
Phone (561) 746-0208

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 6807FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Driftwood Family Practice PA Adult Medicine CurrentSince Jun 16, 1997 Accepting new patients
Palm Beach Cardiology Center Inc Past Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 5206
Jupiter, FL 33458
Phone (561) 746-0208

2163 S US Highway 1
Jupiter, FL 33477
Phone (561) 746-0208

Interoperability endpoints

  • Direct secure messaging: rgoldberg19891@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982635595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 SOUTH U.S. HIGHWAY 1",
            "address_2": "DRIFTWOOD FAMILY PRACTICE , P.A.",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334777338",
            "telephone_number": "561-746-0208",
            "fax_number": "561-575-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 SOUTH U.S. HWY 1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334777338",
            "telephone_number": "561-746-0208",
            "fax_number": "561-575-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS 6807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.